APPLICATION FOR MEMBERSHIP

To download the Club application form as a PDF file click HERE.

Having completed the Application for Membership, please post the whole of the application form with your remittance to:-

JIM SKILLEN, MEMBERSHIP SECRETARY (NEW MEMBERS), "SHALIMAR", 3 COPELAND DRIVE, COMBER, NEWTOWNARDS, BT23 5JJ, U.K.

The Hon. Membership Secretary (New Members),

I wish to apply for membership of the L.E. Velo Club Ltd., and hereby agree, if elected, to be bound by all the provisions of the Memorandum Articles of Association of the said Club. I enclose herewith a remittance of £20.00 for my subscription until the 15th of this month one year hence, together with the joining fee of £6.00 making a total of £26.00.

Overseas members should add a further £5.00 to cover Air Mail costs, plus £1 if paying by PayPal, making a total of £32.00.

(Block Capitals Please)

Dated this………………………………………………………day of…………………………………………………………20………………

Name (in full)………………………………………………………………………………………………………………………………………

Address……………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………Postcode………………………………………………

Occupation………………………………………………………………………………Telephone No………………………………………....

Email Address……………………………………………………………………………………………………………………………………..

Signature…………………………………………………………………………………Age …………………………………………………..


Please make cheque/P.O. Payable to “The L.E. Velo Club Ltd” and crossed.

MACHINE REGISTER

The Club keeps comprehensive records of all machines owned by its members. As well as its clear historical significance, this Register has proved of immense value as a source of information about the post-war Veloce lightweights. In excess of 2000 machines are currently listed, and your help in supplying details of your machine(s) would be greatly appreciated.

1. Registration No……………………………………… 2. Year Manufactured 19……………

3. Model Mk.1,2,3, Vogue, Valiant or Viceroy (delete as required)

4. Engine No……………………………Is it original? (Y/N

5. Frame No…………………………….Is it original? (Y/N)

6. Colour………………………………...Is it original? (Y/N)

7. How many owners has it had?……………………………………

8. WHERE and WHEN was it first registered?…………………………………………………………

9. Are there any modifications that you know about?…………………………………..........................

……………………………………………………………………………………………………………..

10. Is it currently “on the road”? (Y/N)

Most of the above information can be obtained from the log book. If you own more than one machine, will you please give details on plain paper, using a separate piece for each additional machine. You need only write the numbers 1 – 10 with the appropriate answers along side them.